Deans' stroke musings: Inter-rater reliability and validity of the Action Research arm test in stroke patients

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, May 6, 2025

Inter-rater reliability and validity of the Action Research arm test in stroke patients

Hopefully 27 years later we know that assessments like this that don't lead to EXACT RECOVERY PROTOCOLS are COMPLETELY FUCKING USELESS!

Inter-rater reliability and validity of the Action Research arm test in stroke patients

1998, Age and Ageing

CHING-LJN HSIEH, I-PING HSUEH, FU-MEI CHIANG 1 , PO-HSIN LJN School of Occupational Therapy, College of Medicine, National Taiwan University, 7 Chun-Shan S. Road, Taipei, Taiwan, Republic of China Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan, Republic of China Address correspondence to Ching-Lin Hsieh. Fax (+886) 2 391 0614; E-mail: mike26<§^ia.mc.ntu.edu.tw

Abstract Background and purpose: the Action Research arm test (ARAT) was constructed for assessing recovery of upper extremity function after cortical injury. The objective of the study was to verify the inter-rater reliability and validity of the ARAT in stroke patients. Methods: 50 stroke patients participated in the study. For the purpose of inter-rater study, the ARAT was administered by three experienced raters on each patient within a 3-day period. Validity was assessed by comparing the patients' scores on the ARAT with those obtained for the other well-validated measurements evaluating upper extremity motor impairment and disability. Results: intra-class correlation coefficient (ICQ for the total score was 0.98 indicating very high inter-rater reliability. ICCs were also very high in each of the subscales. The score of the ARAT was closely correlated with that of the upper extremity part of the motor assessment scale, the arm sub-score of the motricity index and the upper extremity movements of the modified motor assessment chart (Pearson r = 0.96, 0.87 and 0.94, respectively). Conclusion: the preliminary results of this study support the value of the ARAT for measuring recovery of arm - hand function in stroke patients.